CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Maury Regional Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $11
  • Cash Discount Price: $133
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Maury Regional Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.04x the Medicare baseline. Located in 1224 Trotwood Ave, Columbia, TN.
Cash / Self-Pay
$133

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$10.56

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $10.56 (100%)
Cash / Self-Pay: $133 (1259%)
Insurance Median: $11 (104%)
Cash: $133 (1259% of Medicare)
Ins. Median: $11 (104% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $10.56 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $6 - $36 57%
UnitedHealthcare $6 - $11 57%
Wellpoint $6 - $11 57%
Humana $10 - $11 95%
Wellpoint Tci $10 95%
Aetna $11 - $254 104%
American Health Plans $11 104%
Cigna $11 - $96 104%
Farm Bureau Health Plans $11 104%
Medicare (plans) $11 104%
Nhc $11 104%
Wellcare Harmony Health $11 104%
Medrisk $16 152%
State Of Tennessee $16 152%
Ambetter / Centene $18 - $27 170%
Oscar $27 256%
Wayne County Jail $141 1335%
Lawrence County Jail $212 2008%
Lewis County Jail $212 2008%
Marshall County Jail $212 2008%
Beech Street $226 2140%
Multiplan $226 2140%
Phcs $226 2140%
Firsthealth $271 2566%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1224 Trotwood Ave, Columbia, TN 38401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals